Marys Corner Medical Clinic Inc Ps
NPI 1194973628 · Family Medicine Physician · Chehalis, WA
Marys Corner Medical Clinic Inc Ps is a Family Medicine Physician organization in Chehalis, WA (NPI 1194973628).
Provider details
- NPI number
- 1194973628
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kimberly Inglis, Office Manager(360) 262-3966
- License
- MD00039760 (WA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Former legal business name
- Marys Corner Medical Clinic
Registry dates
- Enumerated
- 2008-09-09
- Last updated
- 2012-04-30
Frequently asked questions
- What is Marys Corner Medical Clinic Inc Ps's NPI number?
- Marys Corner Medical Clinic Inc Ps's National Provider Identifier (NPI) is 1194973628, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Marys Corner Medical Clinic Inc Ps?
- Marys Corner Medical Clinic Inc Ps is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Marys Corner Medical Clinic Inc Ps located?
- Marys Corner Medical Clinic Inc Ps's practice location on file with NPPES is 4254 Jackson Hwy, Chehalis, WA 98532.
- What is Marys Corner Medical Clinic Inc Ps's phone number?
- The practice phone number listed in the NPPES registry for Marys Corner Medical Clinic Inc Ps is (360) 262-3966.
- Who is the authorized official for Marys Corner Medical Clinic Inc Ps?
- The authorized official listed on Marys Corner Medical Clinic Inc Ps's NPPES record is Kimberly Inglis, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Marys Corner Medical Clinic Inc Ps's NPI active?
- Yes — Marys Corner Medical Clinic Inc Ps's NPI (1194973628) is active in the NPPES registry as of the last update on 2012-04-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.